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This is VAERS ID 277226

Case Details

VAERS ID: 277226 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-03-12
Onset:2007-04-13
   Days after vaccination:32
Submitted: 2007-04-23
   Days after onset:10
Entered: 2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure normal, Body temperature, Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: orthotricyclenlo tablets
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: NORMAL TEMPRATURE AND BLOOD PRESSURE
CDC Split Type:

Write-up: AFTER RECEIVING 2ND SHOT OF GARDASIL 4/12/07 SHE DEVELOPED A RASH ON THE INSIDE OF HER ARM(SAME AREN BUT OPPOSITE THE SITE OF THE INJECTION)- SHE HAD NO OTHER SIGNS SYMPTOMS- THE RASH WAS MACULOPAPULAR AND THE AREA INVOLVED WAS 4 CM IN DIAMETER


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